NICOLINA PENTRELLI DERACO LPT
NPI 1487691523
Specialist in East Hanover, NJ
About Nicolina Pentrelli Deraco Lpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLINA PENTRELLI DERACO LPT (NPI 1487691523) is an individual specialist in East Hanover, New Jersey, licensed in New York (022136-1) and active in the NPI registry since May 2006. She is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicolina Pentrelli Deraco Lpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Nicolina Pentrelli Deraco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Hanover, NJ 07936
- Reassigned Medicare billing, New Jersey enrollment
- 232 clinicians in this Medicare group
Cedar Knolls, NJ 07927
- Reassigned Medicare billing, New Jersey enrollment
- 220 clinicians in this Medicare group
West Nyack, NY 10994
- Reassigned Medicare billing, New York enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST HANOVER, NJ 07936
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicolina Pentrelli Deraco's NPI number?
The NPI number for Nicolina Pentrelli Deraco is 1487691523. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Miss Nicolina Pentrelli Lpt.
Where is Nicolina Pentrelli Deraco located?
Nicolina Pentrelli Deraco practices at 11 Eagle Rock Ave, East Hanover, NJ 07936. The listed phone number is (197) 388-7900.
What is Nicolina Pentrelli Deraco's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Nicolina Pentrelli Deraco enrolled in Medicare?
Yes. Nicolina Pentrelli Deraco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicolina Pentrelli Deraco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolina Pentrelli Deraco reassigns Medicare benefits to 3 organizations: Sportscare Of America, PC (East Hanover, NJ), United Sports Care & Physical Therapy (Cedar Knolls, NJ) and Sportscare Physical Therapy Of Ny, P.C. (West Nyack, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolina Pentrelli Deraco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicolina Pentrelli Deraco was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicolina Pentrelli Deraco, LPT · NPI 1487691523
Specialist provider in East Hanover, New Jersey. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1487691523 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 022136-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 EAGLE ROCK AVE, East Hanover, NJ 07936-3167
- **Phone:** (197) 388-7900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sportscare Of America, PC (NPI 1851484380, East Hanover, NJ); United Sports Care & Physical Therapy (NPI 1972881233, Cedar Knolls, NJ); Sportscare Physical Therapy Of Ny, P.C. (NPI 1003098138, West Nyack, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** August 13, 2013
- **Other identifiers:** Medicare PIN QNO911 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1487691523) · Data from the CMS NPPES public registry.